Individual provider Active NPI

Ryan Elizabeth Sensecqua, D.O.

  • Surgery Physician
  • Kailua Kona, HI
National Provider Identifier
1922349679
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DOS-2125 Issued in HI
Practice address
78-6831 Alii Dr
Kailua Kona, HI 96740-2495
Phone
(808) 747-8321
NPI assigned
Mar 5, 2013
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Surgery Physician 208600000X DOS-2125 HI Primary

Addresses

Primary practice location

78-6831 Alii Dr
Kailua Kona, HI 96740-2495

Mailing address

77-6431 Kilohana St Unit Main
Kailua Kona, HI 96740-7900
Phone (239) 823-1004

Other practice location 1

6001 W Outer Dr
Detroit, MI 48235-2614
Phone (313) 966-1941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Alii Health Center PastSince Feb 14, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rsensecqua436995@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1922349679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-6431 KILOHANA ST UNIT MAIN",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967407900",
            "telephone_number": "239-823-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402495",
            "telephone_number": "808-747-8321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 W Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482352614",
            "country_code": "US",
            "telephone_number": "313-966-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENSECQUA",
        "first_name": "RYAN",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2021-03-31",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "DOS-2125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.